NDA Mid-Winter House of Delegates Meeting Registration:
Saturday, January 25, 2025

Atlantis Casino Resort Spa
3800 S Virginia St
Reno, NV, 89502

Meeting: 10:00 am - 4:30 pm

Continental Breakfast: 9:00 am - 9:55 am

Lunch: 12:30 pm

Question Title

1. Attendee Name (Required.)

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2. Attendee Credential or Student (Required.)

DMD

DDS

Student

Other (please specify)

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3. ADA Member Number (if known).

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4. Attending As: (Required.)

Delegate

Alternate

Ex-Officio

Member

Staff

Guest

Other (please specify)

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5. Email Address (Required.)

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6. Phone Number (Required.)

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7. Address (Required.)

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8. Are you planning to attend the Social Event following the HOD at Bistro Napa?

Yes

NDA Mid-Winter House of Delegates Meeting Registration:Saturday, January 25, 2025

Atlantis Casino Resort Spa3800 S Virginia StReno, NV, 89502

Question Title

* 1. Attendee Name (Required.)

Question Title

* 2. Attendee Credential or Student (Required.)

Question Title

* 3. ADA Member Number (if known).

Question Title

* 4. Attending As: (Required.)

Question Title

* 5. Email Address (Required.)

Question Title

* 6. Phone Number (Required.)

Question Title

* 7. Address (Required.)

Question Title

* 8. Are you planning to attend the Social Event following the HOD at Bistro Napa?

NDA Mid-Winter House of Delegates Meeting Registration:
Saturday, January 25, 2025

Atlantis Casino Resort Spa
3800 S Virginia St
Reno, NV, 89502

1. Attendee Name (Required.)

2. Attendee Credential or Student (Required.)

3. ADA Member Number (if known).

4. Attending As: (Required.)

5. Email Address (Required.)

6. Phone Number (Required.)

7. Address (Required.)

8. Are you planning to attend the Social Event following the HOD at Bistro Napa?